Kumvetsetsa Mitundu ya Spondylitis

Zamkati

• Zizindikiro zofala za spondylitis
• Mitundu 8 ya spondylitis
• Mitundu yachikhalidwe ya spondylitis
• 1. Ankylosing spondylitis
• 2. Matenda a Enteropathic (EnA)
• 3. Matenda a Psoriatic (PsA)
• 4. Matenda a nyamakazi / Reiter's (ReA)
• 5. Achinyamata spondylitis (JSpA)
• 6. Spondylitis wosadziwika
• Njira yatsopano yogawira matenda a spondylitis
• 7. Ofananira spondylitis
• 8. Zozungulira spondylitis
• Zimayambitsa spondylitis
• Kodi spondylitis imapezeka bwanji?
• Kodi mankhwala a spondylitis ndi otani?
• Mukuwona bwanji ngati muli ndi spondylitis?
• Kutenga

Spondylitis kapena spondyloarthritis (spA) amatanthauza mitundu ingapo ya nyamakazi.

Mitundu yosiyanasiyana ya spondylitis imayambitsa zizindikiritso m'malo osiyanasiyana amthupi. Zitha kukhudza:

• kubwerera
• mafupa
• khungu
• maso
• njira yogaya chakudya
• mtima

Matenda a Spondylitis amathanso kubweretsa zovuta zina.

Mitundu yonse yamatenda amtundu wa spondylitis ili ndi zinthu zingapo zofanana. Nazi zomwe muyenera kudziwa.

Zizindikiro zofala za spondylitis

Mitundu yonse ya spondylitis imayambitsa kupweteka ndi kutupa (kutupa ndi kufiira). Chizindikiro chofala kwambiri ndikumva kupweteka kwakumbuyo. Zizindikiro zina zimadalira mtundu wa spondylitis womwe muli nawo.

Zizindikiro zodziwika za spondylitis ndi monga:

• kutopa
• kupweteka kwa minofu
• kutupa kwa diso
• kupweteka pamodzi
• kupweteka kwa msana
• kutupa m'manja ndi m'miyendo

Mitundu 8 ya spondylitis

Malinga ndi Spondylitis Association of America, pali njira ziwiri zazikulu zoperekera spondylitis. M'njira yakale, yachikhalidwe, pali mitundu isanu ndi umodzi. Njira yatsopano imaphwanya matenda onse a spondylitis kukhala amodzi mwamagulu awiri.

Mitundu yachikhalidwe ya spondylitis

Mitundu isanu ndi umodzi yachikhalidwe ya spondylitis ndi iyi:

1. Ankylosing spondylitis

Ankylosing spondylitis ndi mtundu wofala kwambiri. Kawirikawiri zimakhudza msana, kumbuyo, ndi ziuno.

Zizindikiro za ankylosing spondylitis ndi monga:

• kupweteka kwa msana
• m'chiuno ululu olowa
• kuuma
• kutupa

2. Matenda a Enteropathic (EnA)

Mtundu uwu wa spondylitis umadziwika ndi kupweteka komanso kutupa m'matumbo. Mutha kukhala ndi ululu wammbuyo komanso wophatikizana.

Zizindikiro zina ndizo:

• kupweteka m'mimba
• kutsekula m'mimba
• kuonda
• magazi m'matumbo

3. Matenda a Psoriatic (PsA)

Mtundu wa spondylitis umayambitsa kupweteka kwakumbuyo komanso kuuma. Zimakhudzana ndi psoriasis ya khungu. Matenda a Psoriatic amayambitsa kupweteka ndi kutupa m'magulu ang'onoang'ono, monga zala zakumapazi.

Zizindikiro zake ndi izi:

• kupweteka ndi kutupa m'manja, zala, ndi mapazi
• zotupa pakhungu (psoriasis flare-up)
• dactylitis (chala chakuphazi kapena chala pakati pa mafupa, omwe nthawi zina amatchedwa "soseji zala")

4. Matenda a nyamakazi / Reiter's (ReA)

ReA ndi mtundu wa spondylitis womwe nthawi zambiri umachitika pambuyo pa matenda a bakiteriya. Zitha kukhala chifukwa cha matenda opatsirana pogonana, monga chlamydia, kapena matenda am'mimba kuchokera ku chakudya chodetsedwa Salmonella.

ReA imatha kupweteketsa komanso kutupa m'malo olumikizirana mafupa (monga mawondo ndi akakolo), msana, ndi ziwalo za sacroiliac. Izi zimapezeka mbali iliyonse ya msana wanu wam'munsi.

Mutha kuwona:

• kupweteka pamodzi ndi kutupa
• zotupa pakhungu
• kutupa kwa diso
• chikhodzodzo ndi ululu maliseche ndi kutupa

5. Achinyamata spondylitis (JSpA)

JSpA ndi mtundu wamatenda omwe amapezeka mwa ana ndi achinyamata. Matenda amtunduwu nthawi zambiri amakhudza ziwalo zamiyendo. Mwendo umodzi ukhoza kukhudzidwa kuposa wina.

JSpA imatha kuwoneka ngati mitundu ina ya spondylitis. Zizindikiro zazikulu ndikumva kuwawa komanso kutupa kuzungulira malo olumikizana ndi msana.

Mtundu wa spondylitis umakhudza madera omwe minofu, mitsempha, ndi tendon zimalumikizidwa ndi fupa.

6. Spondylitis wosadziwika

Spondylitis yamtunduwu imatchedwa yopanda tanthauzo chifukwa siyikukwaniritsa njira yodziwira matenda a ankylosing spondylitis kapena matenda okhudzana nawo.

Ngati muli ndi spondylitis yosasiyanitsa, mwina simudzakhala ndi zizolowezi zowawa msana, zotupa pakhungu, kapena mavuto am'mimba. M'malo mwake, mutha kukhala ndi:

• zotupa zotupa msana
• kupweteka kwa matako
• enthesitis (kupweteka kwa chidendene)
• zotumphukira nyamakazi
• dactylitis
• kutopa
• kutupa kwa diso

Njira yatsopano yogawira matenda a spondylitis

Njira yatsopano yosankhira mitundu ya spondylitis imadalira pomwe zimachitika mthupi. Njirayi ili ndi mitundu iwiri yayikulu ya spondylitis. Anthu ena omwe ali ndi spondylitis adzakhala ndi mitundu yonse iwiri.

7. Ofananira spondylitis

Izi ndi mitundu ya spondylitis yomwe imayambitsa zizindikiro kumbuyo ndi kubuula kapena m'chiuno. Gulu ili lagawidwanso mu spondylitis lomwe limayambitsa kusintha kwa mafupa ndi olowa komwe kumatha kuwonedwa pa X-ray kapena scan ndi zomwe sizingatheke.

Mitundu ya Axial spondylitis itha kuphatikizira:

• ankylosing spondylitis
• nyamakazi yogwira
• nyamakazi ya enteropathic
• spondylitis wosadziwika
• nyamakazi ya psoriatic

8. Zozungulira spondylitis

Gululi limakhudza mitundu ya spondylitis yomwe imayambitsa zizindikiro m'manja ndi m'miyendo. Madera omwe amakhudzidwa kwambiri amakhala ndi ziwalo za:

• mawondo
• akakolo
• mapazi
• manja
• manja
• zigongono
• mapewa

Mitundu ya matenda a spondylitis omwe amalowa mgulu ili ndi awa:

• nyamakazi ya psoriatic
• nyamakazi ya enteropathic
• nyamakazi yogwira
• nyamakazi yosadziwika

Zimayambitsa spondylitis

Madokotala samadziwa bwino zomwe zimayambitsa matenda a spondylitis. Achipatala akuwonetsa kuti mitundu ina, monga ankylosing spondylitis, imatha kukhala yachibadwa. Izi zikutanthauza kuti mumatha kuzikulitsa ngati wina m'banja lanu ali nazo.

Pali majini 30 omwe amalumikizidwa ndi ankylosing spondylitis. Ena mwa majiniwa amathanso kuyambitsa mitundu ina ya spondylitis.

Zina mwazomwe zimayambitsa spondylitis zimaphatikizira matenda a bakiteriya. Mutha kukhala ndi chiopsezo chachikulu cha mitundu monga enteropathic nyamakazi ndi spondylitis yowonongeka ngati muli ndi matumbo, chikhodzodzo, kapena matenda opatsirana.

Mutha kukhala ndi vuto la nyamakazi ngati muli ndi matenda ena otupa (IBD) monga matenda a Crohn ndi ulcerative colitis.

Kufikira 20 peresenti ya anthu omwe ali ndi IBD nawonso ali ndi nyamakazi ya enteropathic. Ndizofala kwambiri kwa achinyamata komanso achikulire.

Kupsinjika kosayang'aniridwa kumatha kuyambitsa kapena kukulitsa mavuto amtundu wina wa spondylitis. Okalamba omwe ali ndi ankylosing spondylitis adapeza kuti 80% adati kupsinjika kumayambitsa zisonyezo zawo.

Kodi spondylitis imapezeka bwanji?

Dokotala wanu adzakuyesani ndikukambirana za mbiri yanu yachipatala kuti mudziwe ngati muli ndi spondylitis. Mwinanso mungafunike mayesero ndi ma scans kuti mutsimikizire matenda, monga:

• kuyezetsa magazi kuti muwone ngati pali zotupa komanso ngati pali matenda
• X-ray ya m'chiuno ndi m'chiuno
• Kujambula kwa MRI kumbuyo kwanu, m'chiuno, ndi m'chiuno
• kuyesa majini

Sungani zolemba zazizindikiro, ndipo zindikirani mukakhala ndi zofooka. Izi zitha kuthandiza dokotala kuzindikira spondylitis yanu.

Mitundu yosiyanasiyana ya spondylitis ingafune mitundu ingapo ya mankhwala. Madokotala ena atha kukhala ndi maphunziro apadera komanso luso lakuchiritsa mtundu wina wa spondylitis, koma osati ena. Pali njira zingapo zopezera katswiri woyenerera:

• Funsani dokotala wanu wamkulu kuti akutumizireni kwa katswiri wa mafupa kapena nyamakazi amene amadziwa bwino mtundu wa spondylitis womwe muli nawo.
• Onani masamba awebusayiti monga Spondylitis Association of America ndi Arthritis Foundation. Ali ndi mndandanda wa madokotala omwe amachiza spondylitis mdera lanu.
• Lowani nawo gulu lothandizira spondylitis kuti mudziwe madokotala omwe anthu amalimbikitsa.

Kodi mankhwala a spondylitis ndi otani?

Chithandizo cha spondylitis nthawi zambiri chimalimbitsa ululu ndi kutupa. Kuchepetsa kutupa (kutupa) mumsana, mafupa, ndi thupi kumatha kuyimitsa kapena kuchepetsa zizindikilo.

Dokotala wanu angakulimbikitseni izi:

• NSAID monga aspirin, ibuprofen, kapena naproxen
• Mankhwala osokoneza bongo (DMARDs)
• zotupa zotsekemera za necrosis alpha (TNF-alpha)
• jakisoni wa steroid
• madontho a steroid
• chithandizo chamankhwala, monga masewera olimbitsa thupi ndi madzi
• Kuchita opaleshoni ya msana kapena mchiuno

Zithandizo zapakhomo zothandiza kuchepetsa zizindikilo ndi izi:

• mankhwala ochepetsa ululu
• mabandeji othandizira ndi zolimba
• zofikisa kunyumba
• malo osambira ofunda
• sauna infrared
• chakudya chamagulu
• kuchita masewera olimbitsa thupi tsiku lililonse
• kusiya kusuta
• kupewa mowa

Mukuwona bwanji ngati muli ndi spondylitis?

Mitundu ina ya spondylitis, monga nyamakazi yowonongeka, imatha pafupifupi miyezi 3 mpaka 12. Mutha kukhala pachiwopsezo chobwereranso ngati muli ndi spondylitis yamtunduwu. Anthu ena omwe ali ndi spondylitis amatha kutenga mitundu ina ya nyamakazi.

Ngati muli ndi ankylosing spondylitis, mutha kukhala ndi ziwonetsero. Zovuta za ankylosing spondylitis zimaphatikizapo msana kusakanikirana pakapita nthawi. Izi zimachitika fupa latsopano likamakula ndikupangitsa msana kuchepa.

Vuto lachilendo la spondylitis limakhudza mtima. Kutupa kumatha kufalikira mpaka pamtima ndikupangitsa matenda akulu amtima, kuphatikiza:

• kutupa kwa aorta ndi aortic valve
• matenda a mtima
• matenda amitsempha yamagazi
• mavuto okhudza mtima

Kutenga

Spondylitis ndi ambulera yamitundu ingapo yofanana yamatenda a nyamakazi. Zimakhudza msana, koma mutha kukhala ndi zizindikilo zingapo, monga kutupa kwa diso kapena kupweteka pang'ono, musanapweteke msana.

Uzani dokotala wanu nthawi yomweyo ngati muli ndi zizindikiro zilizonse, kapena ngati matenda anu akukula kwambiri. Kuchiza spondylitis koyambirira kumatha kuthandiza kuchepetsa zizindikilo komanso kupewa zovuta zina zathanzi.